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Table 2 Acquisition methods and procedures for cardiovascular structures

From: Society for Cardiovascular Magnetic Resonance (SCMR) guidelines for reporting cardiovascular magnetic resonance examinations

 

Recommended

Recommended if acquired/if present

Optional

Left ventricular (LV) structure and function

Method of acquisition

Method of analysis

LVEDV/LVEDVI

LVESV/LVESVI

LVSV/LVSVI

LVEF

CO/CI

LVM/LVM index

LV end diastolic wall thickness

Regional wall motion

Aneurysms

N/A

Qualitative assessment of wall thickening

Right ventricular (RV) structure and function

Method of acquisition

Method of analysis

RVEF

Regional wall motion

N/A

RVEDV/RVEDVI

RVESV/RVESVI

RVSV/RVSVI

RV mass

Qualitative assessment of wall thickening

Curvature of the interventricular septum

First pass perfusion

N/A

First-pass perfusion and late gadolinium enhancement

Post MI tissue characterization

N/A

Late gadolinium enhancement

Location

Myocardial distribution

Extent

Interpretation

N/A

Total mass of infarcted tissue

Stress perfusion (vasodilator)

Visual appearance of contrast enhancement

Number of segments involved and the suspected etiology of the perfusion defects

Extent

N/A

Myocardial perfusion in ml/min/g

Stress function (dobutamine)

Wall motion

Inducible LV wall motion abnormalities

Contractile reserve

Myocardial perfusion

Wall motion score index

Blood flow

Direction and range of the velocity encoding setting

Flow measurements

N/A

Peak and mean velocities and orifice areas

Advanced tissue characterization

Iron quantification: septal native myocardial T2*; global native myocardial T1

Hemorrhage: regional native myocardial T1; regional native myocardial T2; regional native myocardial T2*

Suspected global acute myocardial injury: global or regional native myocardial T2; global or regional native myocardial T1

Fibrosis/infiltration/scar in cardiomyopathies: global or regional native myocardial T1;

Inflammation − injury + edema: global or regional native myocardial T1; global or regional native myocardial T2

N/A

Iron quantification: Global native myocardial T2; global native myocardial T2

Suspected global acute myocardial injury: global or regional native myocardial T2 values; global or regional native myocardial T1 values;

Fibrosis/infiltration/scar in cardiomyopathies: global or regional ECV

Inflammation − injury + edema: global or regional ECV

Strain

Orientation

Global or regional extent

Absolute values for peak strain

N/A

Atrial structure and function

Evaluation of left atrial (LA and right atrial (RA) size as within normal limits or dilated

Presence of an atrial septal defect

Presence of lipomatous hypertrophy of the interatrial septum

N/A

Degree of dilation

Left and right atrial volumes and corresponding indices

Maximal LA volume

Maximal LA volume index to BSA

Maximal RA volume

Maximal RA volume indexed to BSA

Minimal LA volume

Minimal RA volume

LA longitudinal and transverse dimensions and areas, measured on end-systolic 2, 3, and 4 chamber cine images

RA length measured in the end-systolic 4 chamber cine image

Evaluation and post-processing recommendations Atrial dimensions or area

Pericardium

Pericardial thickness

Pericardial effusion

Signs of cardiac tamponade

Ventricular (inter)dependence

Inflammation of pericardial layers

Evidence of associated myocarditis

N/A

Mobility/fusion

RV/LV inflow patterns

Edema of pericardial layers

MR Angiography

Maximal external diameter, or maximal external perpendicular diameters for asymmetric dimensions

For plaque/stenosis: maximum external diameter

Location of atherosclerosis and plaque characteristics

Thickness/size of atherosclerosis and plaque characteristics

Mobility plaques of atherosclerosis and plaque characteristics

Estimate % stenosis of atherosclerosis and plaque characteristics if hemodynamically relevant

Aortic annulus of thoracic aorta

Sinsues of Valsalva of thoracic aorta

Sinotubular junction of thoracic aorta

Ascending and descending aorta diameters at the level of the pulmonary artery of thoracic aorta

Aortic arch diameter of thoracic aorta

Comment on sinotubular effacement of thoracic aorta

Comment on tortuosity of thoracic aorta

Maximal abdominal aortic diameter

Number and patency of renal arteries

Status of the celiac, superior mesenteric and inferior mesenteric arteries

Stent presence/absence; patency/occlusion; presence of thrombus

Post-operative/procedural appearance

Inflammatory disease of the major vessels

Comparison to prior examinations

Post-operative appearance

Post-contrast appearance/enhancement of atherosclerosis and plaque characteristics

Inflammation of atherosclerosis and plaque characteristics, if sequences acquired

Change from prior examinations (include prior dimension and date)

Minimal lumen diameters along common femoral arteries, external iliac arteries, common iliac arteries bilaterally

For plaque/stenosis: lumen diameter

Cross-sectional area(s), particularly when dimensions are asymmetric

Areas and volume measurements of abdominal aorta and peripheral arteries

Valvular assessment

Morphology to be reported as normal or abnormal

Qualitative descriptors of function

Quantitative findings of function (degree of stenosis or semilunar valves, valve area, degree of stenosis of atrioventricular valves)

Degree of valvular regurgitation

Severity of any stenosis or regurgitation

N/A

Relevant hemodynamic parameters

  1. LA, left atrium/left atrial; LV, left ventricle/left ventricular; LVEDV, left ventricular end-diastolic volume; LVEDVI, left ventricular end-diastolic volume index; LVEF, left ventricular ejection fraction; LVESV, left ventricular end-systolic volume; LVESVI, left ventricular end-systolic volume index; RA, right atrium/right atrial; RVEDV, right ventricular end-diasolic volume; RVEDVI, right ventricular end-diastolic volume index; RVEF, right ventricular ejection fraction; RVESV, right ventricular end-systolic volume; RVESVI, right ventricular end-systolic volume index